Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $32.84 / $32.84	Facility		$32.84	$32.84	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $35.81 / $45.56	Professional		$31.76	$35.81	$45.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $62.22 / $102.94	Facility		$56.56	$62.22	$102.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $52.60 / $69.56	Professional		$50.90	$52.60	$69.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $121.04 / $121.04	Facility		$40.70	$121.04	$121.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $152.29 / $236.53	Facility		$33.97	$152.29	$236.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $83.34 / $107.04	Professional		$28.88	$83.34	$107.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $47.37 / $65.04	Facility		$15.48	$47.37	$65.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $56.56 / $67.87	Professional		$32.38	$56.56	$67.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $59.11 / $265.68	Facility		$27.53	$59.11	$265.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $28.22 / $61.58	Professional		$22.53	$28.22	$61.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.18 / $85.00	Professional		$50.00	$60.18	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $49.26 / $65.04	Facility		$15.48	$49.26	$65.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $56.56 / $67.87	Professional		$32.38	$56.56	$67.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $87.05 / $143.53	Professional		$56.56	$87.05	$143.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $110.46 / $265.68	Facility		$33.97	$110.46	$265.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $281.67	Professional		$28.88	$33.97	$281.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Professional		$56.56	$56.56	$56.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Professional		$56.56	$56.56	$56.56
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $28.22 / $48.51	Professional		$18.80	$28.22	$48.51